Provider Demographics
NPI:1396754065
Name:PARMET, MITCHELL L (DO)
Entity type:Individual
Prefix:
First Name:MITCHELL
Middle Name:L
Last Name:PARMET
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 LUDINGTON ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829-4212
Mailing Address - Country:US
Mailing Address - Phone:906-786-5707
Mailing Address - Fax:906-786-2590
Practice Address - Street 1:3409 LUDINGTON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829-4212
Practice Address - Country:US
Practice Address - Phone:906-786-5707
Practice Address - Fax:906-786-2590
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI51010144672084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4141947Medicaid
MIMP014467OtherBCBS
MI130022925OtherRR MEDICARE
MI0M05250022Medicare ID - Type Unspecified
MI4141947Medicaid